Provider Demographics
NPI:1467344176
Name:WILLIAMS, ANNA FORTENBERRY (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:FORTENBERRY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 GILBERT AVE APT E
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-2956
Mailing Address - Country:US
Mailing Address - Phone:214-701-4141
Mailing Address - Fax:
Practice Address - Street 1:4235 GILBERT AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-2902
Practice Address - Country:US
Practice Address - Phone:214-701-4141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1206928363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health